Receiving a denial letter for Social Security Disability (SSD) benefits can be disheartening, especially when you’re relying on those benefits to support yourself or your family. However, it’s important to understand that denials are common, and they do not mean the end of the road. In fact, a majority of initial SSD applications are denied, but many applicants succeed in getting benefits through the appeals process. Understanding your SSD denial letter and taking the proper next steps is critical to improving your chances of success.

1. Key Components of an SSD Denial Letter

Your SSD denial letter is more than just a rejection notice. It contains essential information that will guide your next steps. The letter will typically include:

• The Reason for Denial: This section explains why your application was denied. Common reasons include insufficient medical evidence, failure to meet the Social Security Administration’s (SSA) definition of disability, or errors in the application process.
• Explanation of Medical and Non-Medical Issues: The SSA divides reasons for denial into medical and non-medical categories. If your denial was for medical reasons, it could mean that the SSA believes your condition isn’t severe enough or is expected to improve. Non-medical reasons may include issues like your income or work history not meeting the SSA’s requirements.
• Appeal Information and Deadlines: The denial letter will also outline your right to appeal and the deadline for doing so. In Philadelphia, as in the rest of the country, you have 60 days from the date you received the denial letter to file an appeal.

2. Common Reasons for SSD Denial

Understanding the specific reasons for your denial is the first step to building a stronger case for your appeal. Some of the most common reasons SSD claims are denied include:

• Lack of Medical Evidence: The SSA requires thorough documentation to prove that your condition limits your ability to work. If your medical records don’t clearly demonstrate the severity of your condition, the SSA may deny your claim.
• Failure to Follow Treatment: If the SSA believes you aren’t following prescribed treatments or medical advice, they may deny your claim, assuming that your condition could improve with proper care.
• Income or Work History Issues: If you’re applying for SSD based on work credits, the SSA may deny your claim if you haven’t worked long enough or recently enough. Alternatively, if you’re currently earning above a certain amount of income, your claim may be denied because the SSA considers you capable of “substantial gainful activity.”

3. How to Appeal an SSD Denial in Philadelphia

Receiving a denial letter doesn’t mean you’re out of options. The appeals process offers multiple levels, each with its own chances of success:

• Reconsideration: This is the first step in the appeal process, where your claim is reviewed by a different SSA representative. You can submit additional medical evidence or clarify any misunderstandings from your initial application.
• Hearing with an Administrative Law Judge (ALJ): If your reconsideration is denied, you can request a hearing with an ALJ. At this stage, it’s beneficial to have a skilled Philadelphia disability attorney to represent you. Your lawyer can help you present your case effectively, including bringing in medical experts and evidence to support your claim.
• Appeals Council and Federal Court: If the ALJ denies your appeal, you still have the option to take your case to the Appeals Council or even federal court. While these levels are more complex, they can offer a final opportunity to get the benefits you need.

4. Why You Need a Philadelphia Disability Lawyer

Navigating the SSD appeals process on your own can be overwhelming. From meeting deadlines to gathering additional evidence, having an experienced Philadelphia disability lawyer can make a significant difference in your case. An attorney can help you interpret your denial letter, avoid common mistakes, and build a strong case to improve your chances of success at every level of appeal.

Contact Edelstein Martin & Nelson Today!

If you’ve received an SSD denial letter in Philadelphia, don’t give up. Our experienced disability lawyers can help you understand your denial and guide you through the appeals process. Contact us today for a free consultation, and let us help you fight for the benefits you deserve.